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1 location registered under this record — data as of November 13, 2026

Critical access hospital · NEBRASKA CITY, NE

SAINT MARY'S HOSPITAL d/b/a CHI Health St Mary's

Taking partYesLast certifiedAugust 12, 2026

  • 1Registered locations
  • 1Associated locations
  • 36Contract pharmacies
  • 14With no end date
  • September 22, 2010In 340B since

Where this record sits: among the 60 Critical access hospitals in Nebraska, the median open contract-pharmacy count is 2; this record’s open count ranks 4.

What stands out

  • It began participating on September 22, 2010, 16 years before the file of November 13, 2026.
  • Its open contract-pharmacy count ranks 4 of the 60 Critical access hospitals in Nebraska.
  • It has 14 open contract pharmacies, above the group's median of 2.
  • 49 of the 60 Critical access hospitals in Nebraska have an open contract pharmacy; the most any one has is 40.
  • 14 of the 36 contract pharmacy arrangements filed on it have no end date; 22 have one.
  • 1 location is registered under it.

SAINT MARY'S HOSPITAL d/b/a CHI Health St Mary's among Nebraska Critical access hospital registrations

Nebraska has 171 active Critical access hospital registrations in the HRSA 340B register. CAH281342-00 began participating on September 22, 2010; 1 of the Nebraska registrations of its type began earlier. Nebraska City has 2 active registrations of every type.

Other 340B registrations in Nebraska City

Every Medicare cost report this hospital has filed is on its cost-report record.

Finances, as filed

From this hospital’s Medicare cost report for the year ended June 30, 2025.

FigureAs filedWhere it comes from
Total patient revenue$86,794,662CMS-2552-10 worksheet G300000 line 100 column 100
Contractual allowances$39,869,514CMS-2552-10 worksheet G300000 line 200 column 100
Net patient revenue$46,925,148CMS-2552-10 worksheet G300000 line 300 column 100
Total operating expenses$41,951,970CMS-2552-10 worksheet G300000 line 400 column 100
Income from service to patients$4,973,178CMS-2552-10 worksheet G300000 line 500 column 100
Charity care, at charges$1,066,315CMS-2552-10 worksheet S100001 line 2000 column 300
Charity care, at cost$567,500CMS-2552-10 worksheet S100001 line 2300 column 300
Bad debt expense$1,593,167CMS-2552-10 worksheet S100001 line 2600 column 100
Bad debt other than Medicare, at cost$722,166CMS-2552-10 worksheet S100001 line 2900 column 100
Uncompensated care, at cost$1,289,666CMS-2552-10 worksheet S100001 line 3000 column 100
Total facility beds18CMS-2552-10 worksheet S300001 line 1400 column 200
Cost-to-charge ratio0.4574CMS-2552-10 worksheet S100001 line 100 column 100

Cost report filed under CMS certification number 281342 for July 1, 2024 to June 30, 2025, as submitted. The public file it was read from.

Community benefit, as filed

From IRS Form 990 Schedule H, Part I, filed by ST MARY'S COMMUNITY HOSPITAL (employer identification number 470443636) for tax year 2022. The return lists this hospital as its one hospital facility.

FigureAs filedWhere it comes from
Total community benefit expense (line 7k)$2,244,050IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt>
Financial assistance at cost (line 7a)$252,430IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt>
Medicaid (line 7b)$907,326IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt>
Financial assistance and means-tested government programs (line 7d)$1,159,756IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt>
Other benefits (line 7j)$1,084,294IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt>
Total, fraction of total expense (line 7k, column f)0.0588IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct>

E-file object id 202431319349302183. The IRS archive it was read from.

Executive and director compensation, as filed

From IRS Form 990 Part VII, Section A, filed by ST MARY'S COMMUNITY HOSPITAL (employer identification number 470443636) for tax year 2022. The return lists this hospital as its one hospital facility.

NameTitleRoleReportable comp, from this organizationReportable comp, from related organizationsOther compensation
BILL YATESVICE CHAIRTrustee/director, Officer$0$0$0
BRADLEY VASA MDMEDICAL DIRECTORHighest-compensated employee$467,442$0$53,586
BRETT MEYER MDPHYSICIAN-FAMILY MEDICINEHighest-compensated employee$477,642$96,820$19,482
DANIEL DEFREECE MDPRESIDENTOfficer$322,791$0$60,897
DAVE TAYLORBOARD MEMBERTrustee/director$0$0$0
DAVID JONESMARKET PRESIDENT, REGIONAL HOSPITALSOfficer$0$307,588$30,939
EVERT KUIPEREX-OFFICIO BM/ PRESIDENT & CEO CHI HEALTHTrustee/director, Officer$0$1,274,593$29,391
HEATHER MORGAN MDBOARD MEMBER/PHYSICIANTrustee/director$0$278,612$50,607
JEANETTE WOJTALEWICZCFO, CHI HEALTH (TERMED 1/6/23)Officer$0$1,168,841$54,280
JEFFREY STEARNES MDPHYSICIANFormer$0$741,464$54,293
JOHN PETERSDORFBOARD MEMBERTrustee/director$0$2,349,200$677,245
KELLY BACONBOARD MEMBERTrustee/director$0$0$0
KENT BARNEYTREASURERTrustee/director, Officer$0$0$0
KEVIN FITZGERALDSECRETARYTrustee/director, Officer$0$0$0
KIRTIBALA GUPTA MDBOARD MEMBER/PHYSICIANTrustee/director$0$396,003$44,314
LG SEARCEYBOARD MEMBERTrustee/director$0$0$0
MARDELL WILSONBOARD MEMBERTrustee/director$0$0$0
NICK O'TOOLINTERIM CFO, CHI HEALTHOfficer$0$257,678$47,032
SAMANTHA BOYER MDPHYSICIAN-FAMILY MEDICINEHighest-compensated employee$306,553$109,980$4,863
SISTER MAURITA SOUKUPBOARD CHAIRTrustee/director, Officer$0$0$0
SISTER NADINE HEIMANN OSFBOARD MEMBERTrustee/director$0$0$0
STACY BLUM MDPHYSICIAN-FAMILY MEDICINEHighest-compensated employee$465,369$91,923$54,494
SUSANNE L HRUZA MDBOARD MEMBERTrustee/director$0$0$0
TRAVIS TIERNEY MDNEUROSURGEONHighest-compensated employee$389,758$0$29,917

E-file object id 202431319349302183. The IRS archive it was read from.

Where this hospital sits among its peers

A position, not a grade. Each line names the figure, how it is measured, and the hospitals it is placed among: critical access hospitals in the same state and the same bed-size band, each on its latest filed year. Under it, the same figure across every hospital that filed for the year — a larger set, and a different one.

  • 98thpercentile of 51 hospitals in NE, same facility class, under 25 bedsNet patient revenue, in dollars, as filed

Net patient revenue across every hospital that filed for 2025, in every state and of every size, with this one marked.

Net patient revenue (CMS-2552-10 worksheet G300000 line 300 column 100)

This hospital$13,421,290$688,185,845

Middle half between $26,780,592 and $275,353,989, median $73,049,131, across 5,659 hospitals that filed for 2025, in every state and of every size.

  • 96thpercentile of 52 hospitals in NE, same facility class, under 25 bedsTotal operating expenses, in dollars, as filed

Total operating expenses across every hospital that filed for 2025, in every state and of every size, with this one marked.

Total operating expenses (CMS-2552-10 worksheet G300000 line 400 column 100)

This hospital$15,363,143$674,207,581

Middle half between $27,953,478 and $268,914,289, median $72,935,955, across 5,819 hospitals that filed for 2025, in every state and of every size.

  • 90thpercentile of 48 hospitals in NE, same facility class, under 25 bedsCharity care, at cost, in dollars, as filed
  • 90thpercentile of 51 hospitals in NE, same facility class, under 25 bedsUncompensated care, at cost, in dollars, as filed
  • 63rdpercentile of 52 hospitals in NE, same facility class, under 25 bedsTotal facility beds, a count of beds, as filed

Total facility beds across every hospital that filed for 2025, in every state and of every size, with this one marked.

Total facility beds (CMS-2552-10 worksheet S300001 line 1400 column 200)

This hospital18338

Middle half between 25 and 168, median 64, across 5,777 hospitals that filed for 2025, in every state and of every size.

  • 2ndpercentile of 51 hospitals in NE, same facility class, under 25 bedsCost-to-charge ratio, the ratio, as filed

Cost-to-charge ratio across every hospital that filed for 2025, in every state and of every size, with this one marked.

Cost-to-charge ratio (CMS-2552-10 worksheet S100001 line 100 column 100)

This hospital0.12330.6732

Middle half between 0.1809 and 0.4503, median 0.2651, across 4,413 hospitals that filed for 2025, in every state and of every size.

Changes recorded

Nothing on this record has moved since it was first read here on September 6, 2026.

Every Medicare cost report this hospital has filed, every change this record has shown since it was first read here, and five hospitals of its own size in Nebraska beside it — each figure with the cell it came from — are in the report above.

Register detail and identifiers

Participation, as filed

Participating
TRUE
Participation start date
September 22, 2010
Certification date
August 12, 2026
Record last edited
August 12, 2026

Identifiers

340B ID
CAH281342-00
Entity type as filed
CAH
CMS certification number
281342
NPI
1528016995 (NE), 1851737316 (NE)
Rural
Yes

1301 Grundman BLVD, NEBRASKA CITY NE 68410

Locations registered under this record

Browse all of them as a list →

CAH281342-01Nebraska City Medical ClinicCAHNebraska City, NEYes

Associated locations

SAINT MARY'S HOSPITAL d/b/a CHI Health St Mary's1301 Grundman BLVDNEBRASKA CITY NE 68410

Pharmacy contracts

No end date filed14

CODY'S U-SAVE PHARMACY2220 J ST, AUBURN, NE, 68305October 1, 2026no end date filed
CODY'S USAVE PHARMACY1821 S 11TH ST, NEBRASKA CITY, NE, 68410April 1, 2023no end date filed
EXPRESS SCRIPTSESI MAIL PHARMACY SERVICE INC, SAINT LOUIS, MO, 63134October 1, 2026no end date filed
OPTUM PHARMACY 701, LLC1830 S HORNE, MESA, AZ, 85204July 1, 2026no end date filed
OPTUM PHARMACY 702, LLC1050 PATROL RD, JEFFERSONVILLE, IN, 47130July 1, 2026no end date filed
OPTUMRXOPTUMRX INC, OVERLAND PARK, KS, 66211July 1, 2026no end date filed
ST JOSEPH'S MCAULEY PHARMACY500 W. THOMAS ROAD, PHOENIX, AZ, 85013January 1, 2027no end date filed
WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300, SPRING, TX, 77386April 1, 2020no end date filed
WAL-MART PHARMACY 10-42092101 SOUTH 11TH STREET, NEBRASKA CITY, NE, 68410September 19, 2012no end date filed
WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100, ORLANDO, FL, 32837April 1, 2020no end date filed
WALGREEN CO.DBA: WALGREENS #12854, NEBRASKA CITY, NE, 68410April 1, 2018no end date filed
Walgreens Central Fill #213942601 Hughes Road, Liberty, MO, 64068October 1, 2023no end date filed
WALGREENS MAIL SERVICE, LLCWALGREENS MAIL SERVICE #03397, TEMPE, AZ, 85284April 1, 2018no end date filed
WALGREENS.COM, INC.DBA: WALGREENS, CHANDLER, AZ, 85286April 1, 2018no end date filed

An end date is filed22

An end date still in the future is a termination already filed, not one that has happened. Both are printed here as the file carries them.

CHI HEALTH PHARMACY - 42ND AND L4220 L ST, OMAHA, NE, 68107January 1, 2020October 12, 2022
CHI HEALTH PHARMACY - 132ND AND CENTER13315 W CENTER RD STE 101, OMAHA, NE, 68144January 1, 2020October 12, 2022
CHI HEALTH PHARMACY - 161ST AND MAPLE16101 EVANS ST, OMAHA, NE, 68116January 1, 2020October 12, 2022
CHI HEALTH PHARMACY - BELLEVUE3308 SAMSON WAY STE 106A, BELLEVUE, NE, 68123January 1, 2020October 12, 2022
CHI HEALTH PHARMACY - BERGAN MERCY7710 MERCY RD STE 110, OMAHA, NE, 68124January 1, 2020October 12, 2022
CHI HEALTH PHARMACY - FLORENCE8613 N 30TH ST, OMAHA, NE, 68112January 1, 2020October 12, 2022
CHI HEALTH PHARMACY - IMMANUEL6829 N 72ND ST STE 2160, OMAHA, NE, 68122January 1, 2020October 12, 2022
CHI HEALTH PHARMACY - LAKESIDE16909 LAKESIDE HILLS CT STE 107, OMAHA, NE, 68130January 1, 2020October 12, 2022
CHI HEALTH PHARMACY - LAVISTA8248 S 96TH ST STE 101, LA VISTA, NE, 68128January 1, 2020October 12, 2022
CHI HEALTH PHARMACY - MIDLANDS11109 S. 84TH ST. STE 1841, PAPILLION, NE, 68046January 1, 2020December 6, 2024
CHI HEALTH PHARMACY - VALLEY VIEW1288 VALLEY VIEW DRIVE, COUNCIL BLUFFS, IA, 51503January 1, 2020October 12, 2022
CHI HEALTH PHARMACY WEST BROADWAY3135 W BROADWAY, COUNCIL BLUFFS, IA, 51501January 1, 2020October 12, 2022
CHI HEALTH SPECIALTY PHARMACY7710 MERCY RD STE 102, OMAHA, NE, 68124July 1, 2019October 12, 2022
CYSTIC FIBROSIS SERVICES, LLCDBA WALGREENS SPECIALTY PHARMACY #16280, FRISCO, TX, 75033April 1, 2018July 6, 2022
PRIME THERAPEUTICS SPECIALTY PHARMACY LLALLIANCERX WALGREENS PRIME #16568, ORLANDO, FL, 32819April 1, 2018July 6, 2022
ST JOSEPH'S MCAULEY PHARMACY500 W. THOMAS ROAD, PHOENIX, AZ, 85013July 1, 2019October 12, 2022
U-SAVE PHARMACYMOSER'S U-SAVE PHARAMCY, NEBRASKA CITY, NE, 68410July 1, 2022October 12, 2022
U-SAVE PHARMACYMOSER'S U-SAVE PHARAMCY, NEBRASKA CITY, NE, 68410October 24, 2012May 3, 2019
WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15438, CANTON, MI, 48188April 1, 2018July 6, 2022
WALGREENS SPECIALTY PHARMACY, LLCALLIANCERX WALGREENS PRIME #12314, BEAVERTON, OR, 97008April 1, 2018July 6, 2022
WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #16287, PITTSBURGH, PA, 15275April 1, 2018July 6, 2022
WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15443, FRISCO, TX, 75033April 1, 2018July 6, 2022

Source: HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261113_071011.xlsx, stamped November 13, 2026; first read here September 6, 2026. Method.

The full report for SAINT MARY'S HOSPITAL d/b/a CHI Health St Mary's

Every figure on this page as a document you can keep, file or send on: the finances as filed with the worksheet, line and column each one came from, five hospitals of a similar size in the same state, the contract-pharmacy network year by year, and what changed on the record.

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